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Radiology – The Basics INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com

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Radiology    

Four year residency Fellowships common Basic element of medical care Frequently the test that results in patient admission/diagnosis

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Basic Concepts     

One view is no view – use it all! Patterns are your clue Be sure you are looking Know what you’re looking for Know the limits of your test

www.indiandentalacademy.com


Basic Concepts     

One view is no view – use it all! Patterns are your clue Be sure you are looking Know what you are looking for Know the limits of your test

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One View is No View Posterior sulcus nodule = Cancer

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One View is No View RML collapse

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One View is No View

Pectus excavatum, not pneumonia www.indiandentalacademy.com


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Basic Concepts     

One view is no view – use it all! Patterns are your clue Be sure you are looking Know what you’re looking for Know the limits of your test

www.indiandentalacademy.com


Patterns are Your Clue PCP Pneumonia

CHF

Interstitial Lung Disease - Acute www.indiandentalacademy.com


Patterns are Your Clue Pneumonia

Alveolar edema

Air Space Consolidation www.indiandentalacademy.com


Patterns are Your Clue

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Patterns are Your Clue SB > 3cm Continuous valvulae Paucity colonic gas Multiple non-colonic A/F levels

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Basic Concepts     

One view is no view – use it all! Patterns are your clue Be sure you are looking Know what you’re looking for Know the limits of your test

www.indiandentalacademy.com


Be Sure You are Looking

RT

Kartegener’s Syndrome

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Be Sure You are Looking

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Be Sure You are Looking “Rule out pneumonia�

Marked free intraperitoneal air

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Basic Concepts     

One view is no view – use it all! Patterns are your clue Be sure you are looking Know what you’re looking for Know the limits of your test

www.indiandentalacademy.com


Know What You’re Looking For PNEUMOTHORAX

Skin fold – no intervention Gray edge with peripheral markings

Failed line placement, SOB:

Thin line without peripheral lung markings = pneumothorax www.indiandentalacademy.com


Know What You’re Looking For Pneumothorax + mediastinal shift = Tension Pneumothorax

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Know What You’re Looking For PNEUMOMEDIASTINUM Air paralleling trachea, bronchi, left heart border

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Know What You’re Looking For 1. Trauma Board 2. Wide mediastinum 3. NG deviation 4. Tracheal deviation 5. Left apical cap

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Know What You’re Looking For

Aortic Transection X 2

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Know What You’re Looking For

65 year old with Pulmonary Arterial Hypertension www.indiandentalacademy.com

35 year old with Lymphoma


Know What You’re Looking For PNEUMOPERITONEUM

Upright – Nondependent point www.indiandentalacademy.com


Know What You’re Looking For PNEUMOPERITONEUM

Supine – Double Bowel Wall Sign www.indiandentalacademy.com

Outlining of liver/GB


Know What You’re Looking For 35 year old with recurrent abdominal pain: Extensive pancreatic calcification = recurrent pancreatitis

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Know What You’re Looking For 35 year old with bloody diarrhea Thumb-printing transverse colon = Colitis

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Know What You’re Looking For

Bowel 60 yeardilatation old with acidosis and no bowel sounds, Pneumatosis suspect dead bowel Portal venous gas

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June 3, 1965 www.indiandentalacademy.com


Basic Concepts     

One view is no view – use it all! Patterns are your clue Be sure you are looking Know what you’re looking for Know the limits of your test

www.indiandentalacademy.com


Know the Limits of Your Test • • •

Screening tests come first Secondary tests come second Basic decision trees work for most, but not all, patients

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Know the Limits of Your Test 35 year old on BCP with acute Shortness of breath

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Know the Limits of Your Test 40 year old with confusion after skull fracture

Subdural hematoma www.indiandentalacademy.com


Know the Limits of Your Test

80 year old fell in bath tub this AM, unable to bear weight = Femoral neck fracture www.indiandentalacademy.com


Know the Limits of Your Test

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Take time to consider your test first, and review the results after You’ll be the star of your team!

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Dust and gas in the constellation of Sagittarius www.indiandentalacademy.com


Thank you For more details please visit www.indiandentalacademy.com

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide r...

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